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Children in Greater Cincinnati Face Variety of Adverse Events, Which Impact Health

Aug 3, 2018

Childhood experiences can have a lifelong effect on an individual’s physical, mental and emotional health. The Centers for Disease Control and Prevention notes that children need “safe, stable, nurturing relationships and environments” to grow up healthy.

Adverse Childhood Experiences (ACEs) are traumatic events or conditions in a child’s life that can negatively affect health and development. Research shows that ACEs can increase the risk of poor long-term health. The 2017 Child Well-Being Survey asked parents and guardians in our region if their child had experienced one of several ACEs to determine their prevalence in Greater Cincinnati.

“As a community we can improve the outcome for our children by reducing the number of ACEs they experience and by building their resilience to prevent these adverse effects,” said Dr. Robert Shapiro, Division Director of the Mayerson Center for Safe and Healthy Children at Cincinnati Children's Hospital Medical Center. 

Household challenges: Divorce, incarceration or death of a parent

The Child Well-Being Survey asked parents and guardians if their child had experienced the death, divorce or incarceration of a parent. Children in our region were more likely than children across the country to experience the death or incarceration of a parent. These percentages were even higher among children in families earning less than 200% of the Federal Poverty Guidelines (FPG).

Environmental conditions: Safety, housing, school

Changes in a child’s surroundings can also have an impact on his/her health. Instability in housing, switching schools and unsafe neighborhoods can affect the physical and mental health of a young person.

When looking at housing, the Child Well-Being survey found that 14% of children in our region had moved to a new home within the last 24 months, and 4% had moved two or more times during the same time period. Frequent moves were again more common among lower-income families, with 10% of those earning 100% FPG or less having moved two or more times. The stress of starting at a new school can also impact a child’s health, particularly if it occurs frequently. The survey found that 2% of children in our region had changed schools two or more times in the last two years.

Finally, the Child-Well Being Survey examined caregivers’ perceptions of safety in their neighborhoods. More than 9 in 10 (96%) rated their neighborhood as usually or always safe; however, lower-income families were more likely to have concerns about safety, with 11% of families earning less than 100% FPG considering their neighborhood to be never or only sometimes safe.

Addressing adverse experiences

A variety of strategies can be implemented to help create safe and stable environments for youth. These include programs and policies to support parents, reduce violence, and address mental health and substance use; and assistance for lower-income families.

“As we work together to create strong, healthy neighborhoods where children can survive and thrive, we must consider childhood trauma,” said O’dell Moreno Owens, M.D., M.P.H., President and CEO of Interact for Health. “Some adverse experiences can be avoided. In instances where trauma is unavoidable, we must ensure that local families have resources and resilience necessary to overcome challenges.

About the Child Well-Being Survey

The 2017 Child Well-Being Survey is funded by Interact for Health and Cincinnati Children’s Hospital, with support from the United Way of Greater Cincinnati. It was conducted March 5-Aug. 9, 2017, by the Institute for Policy Research at the University of Cincinnati. A random sample of 2,757 adult caregivers from a 22-county region in Southwest Ohio, Northern Kentucky and Southeast Indiana was interviewed. This included 1,056 landline interviews and 1,701 cell phone interviews with cell phone users. In 95 of 100 cases, the estimates will be accurate to ± 1.9%. There are other sources of variation inherent in public opinion studies, such as non-response, question wording or context effects that can introduce error or bias. For more information about the Child Well-Being Survey, please visit https://www.interactforhealth.org/child-well-being-survey.


About Interact for Health

Interact for Health is improving the health of all people in our region. We serve as a catalyst by promoting health equity through grants, education, research, policy and engagement. To amplify the impact of our work, Interact for Health focuses on three strategic priorities: reducing tobacco use, addressing the opioid epidemic and ensuring that children have access to health care through school-based health centers. We are an independent foundation that serves 20 counties in Ohio, Kentucky and Indiana.

Return to What's New

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File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
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Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
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File: C:\wamp64\www\staging\lib\databases\all_in_one.php
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File: C:\wamp64\www\staging\lib\functions.php
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Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: process_navigation() -- Line: 715
File: C:\wamp64\www\staging\lib\functions.php
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Function: process_paths() -- Line: 860
File: C:\wamp64\www\staging\lib\functions.php
Step 5 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (6 rows, 0.0024 sec): Getting Navigation File: C:\wamp64\www\staging\lib\functions.php - Line: 778
1: MySQLi Query:
'
        select  
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Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: process_navigation() -- Line: 778
File: C:\wamp64\www\staging\lib\functions.php
Step 4
Function: process_paths() -- Line: 860
File: C:\wamp64\www\staging\lib\functions.php
Step 5 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (32 rows, 0.0016 sec): Getting Blogs File: C:\wamp64\www\staging\api\functions\blogs_get.php - Line: 116
1: MySQLi Query:
'
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	'

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Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: blogs_get() -- Line: 116
File: C:\wamp64\www\staging\api\functions\blogs_get.php
Step 4
Function: getBlogs() -- Line: 221
File: C:\wamp64\www\staging\api\api.php
Step 5
Function: require_once() -- Line: 64
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 6 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (1 rows, 0.0006 sec): Getting Blogs File: C:\wamp64\www\staging\api\functions\blogs_get.php - Line: 271
1: MySQLi Query:
'
		select
			b.id as blog_id
			,b.title
			,b.alias
			,b.pagecontent as content
			,b.published
			,b.active
			,b.private
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			,cat.title as category_title
			,cat.alias as category_alias
			,upl.id as upl_id
			,upl.config_id
			,upl.filename
			,upl.title as upload_title
			,upl.ext
			,uc.type as config_type
			
		from interactforhealth_staging.blogs as b
		left join interactforhealth_staging.blogs_categories_map as cat_map on
			cat_map.blog_id = b.id
			and cat_map.active = 1
			and cat_map.deleted = 0
		left join interactforhealth_staging.blogs_categories as cat on
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		order by
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	'

Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: blogs_get() -- Line: 271
File: C:\wamp64\www\staging\api\functions\blogs_get.php
Step 4
Function: getBlogs() -- Line: 221
File: C:\wamp64\www\staging\api\api.php
Step 5
Function: require_once() -- Line: 64
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 6 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (0 rows, 0.0003 sec): Getting Blogs Info File: C:\wamp64\www\staging\modules\public\blogs\index.php - Line: 212
1: MySQLi Query:
'
        select  
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            and map.config_id IN (7)
        left join 
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            on u.id = map.upl_id 
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            interactforhealth_staging.uploads_config as uc
            on u.config_id = uc.id 
            and uc.active 
            and not uc.deleted 

        where  
            users.active 
            and not users.deleted 
            and users.is_author
            and authors_map.blog_id = 121
    '

Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: get_authors() -- Line: 212
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 4
Function: require_once() -- Line: 66
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 5 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (0 rows, 0.0005 sec): Getting Uploads File: C:\wamp64\www\staging\modules\public\blogs\index.php - Line: 144
1: MySQLi Query:
'
        select  
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        from  
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        join 
            interactforhealth_staging.uploads_map as map            
            on u.id = map.upl_id 
            and u.active 
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        left join 
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            on u.config_id = uc.id 
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        left join 
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            on p.id = map.type_id
            and map.type = \'pages\'
            and p.active 
            and not p.deleted
        where  
            map.config_id IN (6) 
            and map.active 
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            and p.alias = \'whats-new\'

    '

Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: get_uploads() -- Line: 144
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 4
Function: require_once() -- Line: 86
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 5 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace dynamic_content_get File: C:\wamp64\www\staging\api\functions\dynamic_content_get.php - Line: 6

Step 1
Function: dynamic_content_get() -- Line: 6
File: C:\wamp64\www\staging\api\functions\dynamic_content_get.php
Step 2
Function: getDynamicContent() -- Line: 291
File: C:\wamp64\www\staging\api\api.php
Step 3
Function: require_once() -- Line: 98
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 4 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (1 rows, 0.0005 sec): File: C:\wamp64\www\staging\api\functions\dynamic_content_get.php - Line: 72
1: MySQLi Query:
'
		select 
			dc.id as content_id
			,dc.group_id
			,dc.active
			,dc.skey
			,dc.svalue
            ,total_skey
		from 
			interactforhealth_staging.dynamic_content as dc
        left join 
            (
	            select 
	            	dct.id
	            	,dct.group_id
	                ,dct.skey
					,count(dct.skey) as total_skey
	            from
	            	interactforhealth_staging.dynamic_content as dct
	            where
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	            group by 
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            ) as totals
        	on totals.skey = dc.skey

		where
			not dc.deleted
			and dc.active
			 and dc.type_id = \'2\'
			

	'

Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: dynamic_content_get() -- Line: 72
File: C:\wamp64\www\staging\api\functions\dynamic_content_get.php
Step 4
Function: getDynamicContent() -- Line: 291
File: C:\wamp64\www\staging\api\api.php
Step 5
Function: require_once() -- Line: 98
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 6 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace recent_updates_get File: C:\wamp64\www\staging\api\functions\recent_updates_get.php - Line: 5

Step 1
Function: recent_updates_get() -- Line: 5
File: C:\wamp64\www\staging\api\functions\recent_updates_get.php
Step 2
Function: getRecentUpdates() -- Line: 391
File: C:\wamp64\www\staging\api\api.php
Step 3
Function: show_recent_updates() -- Line: 13
File: C:\wamp64\www\staging\lib\recent_updates_functions.php
Step 4
Function: show_content() -- Line: 736
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 5
Function: output() -- Line: 765
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 6
Function: require_once() -- Line: 775
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 7 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More MySQLi (5 rows, 0.0009 sec): File: C:\wamp64\www\staging\api\functions\recent_updates_get.php - Line: 70
1: MySQLi Query:
'
		select 
			ru.id as recent_updates_id
			,ru.title
			,ru.redirect_url
			,ru.button_text 
			,ru.pagecontent as content
			,ru.created 
			,ru.published
			,ru.active
            ,u.id as upl_id
            ,u.config_id as config_id
            ,u.filename as filename 
            ,u.ext as ext 
            ,uc.type AS config_type
		from 
			interactforhealth_staging.recent_updates as ru
        left join 
            interactforhealth_staging.uploads_map as map            
            on ru.id = map.type_id 
            and map.active 
            and not map.deleted
            and map.type = \'recent_updates\'
             and map.config_id IN (3)

        left join 
            interactforhealth_staging.uploads as u
            on u.id = map.upl_id 
            and u.active 
            and not u.deleted 
        left join 
            interactforhealth_staging.uploads_config as uc
            on u.config_id = uc.id 
            and uc.active 
            and not uc.deleted 
		where
			not ru.deleted
			and ru.active
			 and ru.published <= \'1566700677\'
		order by 
			ru.sort_order
	'

Step 1
Function: db_mysqli_query() -- Line: 106
File: C:\wamp64\www\staging\lib\databases\mysqli_debug.php
Step 2
Function: db_query() -- Line: 76
File: C:\wamp64\www\staging\lib\databases\all_in_one.php
Step 3
Function: recent_updates_get() -- Line: 70
File: C:\wamp64\www\staging\api\functions\recent_updates_get.php
Step 4
Function: getRecentUpdates() -- Line: 391
File: C:\wamp64\www\staging\api\api.php
Step 5
Function: show_recent_updates() -- Line: 13
File: C:\wamp64\www\staging\lib\recent_updates_functions.php
Step 6
Function: show_content() -- Line: 736
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 7
Function: output() -- Line: 765
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 8
Function: require_once() -- Line: 775
File: C:\wamp64\www\staging\modules\public\blogs\index.php
Step 9 -- Line: 25
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More Sessions File: C:\wamp64\www\staging\lib\error_handler.php - Line: 314
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Step 1
Function: show_debug() -- Line: 314
File: C:\wamp64\www\staging\lib\error_handler.php
Step 2
Function: footer_template() -- Line: 264
File: C:\wamp64\www\staging\template\standard.php
Step 3
Function: template() -- Line: 279
File: C:\wamp64\www\staging\template\standard.php
Step 4
Function: require_once() -- Line: 284
File: C:\wamp64\www\staging\template\standard.php
Step 5 -- Line: 33
File: C:\wamp64\www\staging\index.php

DEBUG Backtrace Show More Server Variable File: C:\wamp64\www\staging\lib\error_handler.php - Line: 318
1: REDIRECT_STATUS: 200
2: HTTP_HOST: wamp1.ia4h.org
3: HTTP_USER_AGENT: CCBot/2.0 (https://commoncrawl.org/faq/)
4: HTTP_ACCEPT: text/html,application/xhtml+xml,application/xml;q=0.9,*/*;q=0.8
5: HTTP_ACCEPT_LANGUAGE: en-US,en;q=0.5
6: HTTP_ACCEPT_ENCODING: gzip
7: HTTP_X_FORWARDED_FOR: 3.226.251.81
8: HTTP_X_FORWARDED_HOST: staging.interactforhealth.org
9: HTTP_X_FORWARDED_SERVER: staging.interactforhealth.org
10: HTTP_CONNECTION: Keep-Alive
11: PATH: C:\Windows\system32;C:\Windows;C:\Windows\System32\Wbem;C:\Windows\System32\WindowsPowerShell\v1.0\;C:\Windows\system32\config\systemprofile\AppData\Local\Microsoft\WindowsApps
12: SystemRoot: C:\Windows
13: COMSPEC: C:\Windows\system32\cmd.exe
14: PATHEXT: .COM;.EXE;.BAT;.CMD;.VBS;.VBE;.JS;.JSE;.WSF;.WSH;.MSC
15: WINDIR: C:\Windows
16: SERVER_SIGNATURE:
Apache/2.4.27 (Win64) PHP/7.0.23 Server at wamp1.ia4h.org Port 80
17: SERVER_SOFTWARE: Apache/2.4.27 (Win64) PHP/7.0.23
18: SERVER_NAME: wamp1.ia4h.org
19: SERVER_ADDR: 172.16.10.65
20: SERVER_PORT: 80
21: REMOTE_ADDR: 172.16.10.70
22: DOCUMENT_ROOT: C:/wamp64/www
23: REQUEST_SCHEME: http
24: CONTEXT_PREFIX:
25: CONTEXT_DOCUMENT_ROOT: C:/wamp64/www
26: SERVER_ADMIN: wampserver@wampserver.invalid
27: SCRIPT_FILENAME: C:/wamp64/www/staging/index.php
28: REMOTE_PORT: 64499
29: REDIRECT_URL: /staging/whats-new/121/children-in-greater-cincinnati-face-variety-of-adverse-events-which-impact-health/
30: GATEWAY_INTERFACE: CGI/1.1
31: SERVER_PROTOCOL: HTTP/1.1
32: REQUEST_METHOD: GET
33: QUERY_STRING:
34: REQUEST_URI: /staging/whats-new/121/children-in-greater-cincinnati-face-variety-of-adverse-events-which-impact-health/
35: SCRIPT_NAME: /staging/index.php
36: PHP_SELF: /staging/index.php
37: REQUEST_TIME_FLOAT: 1566700677.302
38: REQUEST_TIME: 1566700677

Step 1
Function: show_debug() -- Line: 318
File: C:\wamp64\www\staging\lib\error_handler.php
Step 2
Function: footer_template() -- Line: 264
File: C:\wamp64\www\staging\template\standard.php
Step 3
Function: template() -- Line: 279
File: C:\wamp64\www\staging\template\standard.php
Step 4
Function: require_once() -- Line: 284
File: C:\wamp64\www\staging\template\standard.php
Step 5 -- Line: 33
File: C:\wamp64\www\staging\index.php